| NPI | 1710668496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS RYAN ARVIZO Owner 480-549-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-07-25 |